Factors associated with irritable bowel syndrome symptoms in hemodialysis patients
| Autor: | Bartosz Fiderkiewicz, Andrzej Rydzewski, Alicja Rydzewska-Rosołowska, Bożenna Kaczanowska, Michał Myśliwiec, Grażyna Rydzewska, Magdalena Birecka |
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| Rok vydání: | 2011 |
| Předmět: |
Male
medicine.medical_specialty Brief Article Cross-sectional study medicine.medical_treatment Irritable Bowel Syndrome Renal Dialysis Risk Factors Surveys and Questionnaires Diabetes mellitus Internal medicine Humans Medicine Dialysis Irritable bowel syndrome Aged Aged 80 and over Aspirin business.industry Gastroenterology General Medicine Middle Aged medicine.disease Surgery Cross-Sectional Studies Quality of Life Female Hemodialysis business Body mass index Kidney disease medicine.drug |
| Zdroj: | World Journal of Gastroenterology. 17:1976 |
| ISSN: | 1007-9327 |
| DOI: | 10.3748/wjg.v17.i15.1976 |
| Popis: | AIM: To investigate clinical characteristics associated with the presence of irritable bowel syndrome (IBS) symptoms in hemodialysis (HD) patients. METHODS: This was a cross-sectional study. A questionnaire based on the Bowel Disease Questionnaire that records gastrointestinal symptoms was given to 294 patients in 4 dialysis centers. A total of 196 (67%) subjects returned the survey. A multivariable logistic regression model was used to identify factors significantly associated with IBS symptoms. RESULTS: Symptoms compatible with IBS were present in 27 (13.8%) subjects and independently associated with low post-dialysis serum potassium [OR = 0.258, 95% CI (0.075-0.891), P = 0.032], paracetamol use [OR = 3.159, 95% CI (1.214-8.220), P = 0.018], and Kidney Disease Quality of Life (KDQOL) cognitive function score [OR = 0.977, 95% CI (0.956-0.999), P = 0.042]. Univariate regressions were also performed and the reported significance is for multivariate analysis. No association was detected for age, gender, depressed mood, smoking (present or past), body mass index, albumin level, Kt/V, sodium pre- or post-dialysis level, change in potassium level during HD, proton pump inhibitor or H2 blocker use, aspirin use, residual diuresis, hepatitis B or C infection, diabetes mellitus, marital status and education level. CONCLUSION: This study examined potential risk factors for symptoms compatible with IBS in HD patients and identified an association with paracetamol use, post-dialysis potassium level and KDQOL-cognitive function score. |
| Databáze: | OpenAIRE |
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